Denis Cyplenkov, juicing and growth hormone

Could also answer some assumptions from the post a couple of days ago

Shortly:

Denis has a small pituitary tumor (somatotropinoma) that caused high natural growth hormone (GH) production.
Since the tumor developed after puberty, he didn’t grow taller—only his muscles and organs enlarged over time, which explains his large hands and fingers.
His tumor produces GH at a rate equal to 10 IU per day (a high dose for athletes), but his body did it constantly, not in cycles.
Denis says he rarely injected GH himself—only a few times before tournaments, much less than other armwrestlers and was happy with results.
He got GH tests before, but they showed low levels—his doctor thinks Russian lab tests were inaccurate due to cheap reagents.
Once a friend with acromegaly suggested Denis might have it too, but he ignored it, thinking his size was from constant training, and he felt well at that time.
His joint issues and general health issues are likely from acromegaly.
He’s now starting treatment to lower GH production—basically, he’s "coming off" GH, but it was his own body making it.